Laquanta Jackson
NPI #1194372953 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1194372953
- Entity Type
- Individual
- Name
- Laquanta Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 2430 ATHENS RD
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1954
- Phone
- (708) 790-0366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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